- 期刊
Ampullary Adenocarcinoma Presenting with Acute Pancreatitis and Anemia
壺腹癌罕見的以急性胰臟炎及貧血為表現
並列摘要
Adenocarcinoma of the ampulla of Vater is an uncommon malignancy. Jaundice is the most common presentation of ampullary cancer, and about 70% of patients present with jaundice. Other common symptoms include abdominal pain and weight loss. Only 3-5 % of patients with ampullary cancer are associated with acute pancreatitis. About one-third of patients with ampullary cancer present anemia. We report a case of ampullary cancer, presenting with severe anemia and acute pancreatitis but not jaundice. Abdominal ultrasonography and abdominal computed tomography revealed dilatation of the common bile duct, intra-hepatic duct, and pancreatic duct. Endoscopic retrograde cholangiopancreatogram showed a tumor of the ampulla of Vater, and biopsy proved adenocarcinoma of the ampulla of Vater. The patient underwent Whipple's resection, and adjuvant chemotherapy and radiotherapy. She died 10 months after operation because of cancer recurrence and metastasis.
延伸閱讀
- Huang, Y. W., Yang, J. C., Chang, Y. L., Tsang, Y. M., & Wang, T. H. (2005). 急性胰臟炎合併性Budd-Chiari氏症候群為小細胞肺癌之最初表現. Journal of the Formosan Medical Association, 104(6), 431-435. https://doi.org/10.29828/JFMA.200506.0009
- 詹佩欣、呂碧鴻、陳慶餘、梁繼權（2004）。Osler-Weber-Rendu症候群合併胰臟血管瘤及急性胰臟炎之病例分析。臺灣家庭醫學研究，2(1)，38-45。https://doi.org/10.29475/TFMR.200401.0005
- Huang, J. Y., Hsu, W. P., Hsu, J. W., & Chou, S. Y. (2012). 以急性胰臟炎表現的醫源性十二指腸壁層內血腫. 台灣家庭醫學雜誌, 22(2), 89-95. https://doi.org/10.7023/TJFM.201206.0089
- Tsai, M. C., Jeng, J. Y., Chen, H. C., Wu, Y. Y., Wu, C. H., & Yang, J. N. (2007). 胰臟假性囊泡併胰血症以胰管內乳頭狀黏液性腫瘤表現：一病例報告. 輔仁醫學期刊, 5(4), 213-220. https://www.airitilibrary.com/Article/Detail?DocID=18102093-200712-5-4-213-220-a
- Chen, C. Y., Shin, J. S., Tsai, H. M., & Lin, X. Z. (1995). 慢性胰臟炎併偽動脈血管瘤出血：一病例報告. 中華民國消化系醫學會雜誌, 12(2), 189-194. https://doi.org/10.6557/GJTa.199506_12(2).0004